HEIDI MERLE-KLEPACKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

HEIDI

Last Name

MERLE-KLEPACKI

Business Name

HEIDI MERLE-KLEPACKI

Original Issue Date

08/24/1988

Effective Date

08/24/1988

Expiration Date

09/30/1990

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

10/13/2005